1.Home-visit Medical Services Provided by a Community-based Cancer Care Hospital to Meet Families' Need for "Being Close to the Patient as the Person They Care about" despite the Prohibition of Visitation Due to COVID-19 Infection
Tatsuya SAKAI ; Eriko OGAMI ; Takahiro SAITO
An Official Journal of the Japan Primary Care Association 2021;44(1):34-35
2.Attitudes and Opinions of Medical Students in Clinical Years Towards Ethical Issues in Japan.
Atsushi ASAI ; Mayuko SAITO ; Tatsuya SAKAI ; Takuro SHINBO ; Tsuguya Fukui
Medical Education 1998;29(4):221-225
We reviewed essays on clinical ethics written by 94 5th and 6th-year medical students on rotation at the Department of General Internal Medicine of Kyoto University Hospital. Issues regarding brain death, medical decisions concerning the end of life, and informed consent and truth telling were each identified as ethically important by one-third of the students. Approximately 90% of the students expressed a desire to learn more about ethical issues, including actual ethical decisions made by physicians in Japan, cross-cultural differences, medical decisions concerning the end of life, and informed consent. Most students were extremely sensitive to issues of informed consent and truth telling relevant to the patients they cared for.
4.The 4th Japan-UK Primary Care Exchange A Report about Participation in the Short Visit Program to the UK
Makoto Kaneko ; Yuki Sakai ; Tatsuya Furutake ; Tomoki Matsumoto ; Kazutaka Yoshida
An Official Journal of the Japan Primary Care Association 2017;40(3):160-163
We, the delegates of the 2016 Japan-UK exchange, herein report our experiences and impressions of British primary care: "the difference between the career paths of general practitioners from Japan and UK", "medical interpreters and care in a multicultural society" and "framework for development of clinical research". We described our experiences in UK with a literature review. The authors wish for the article to support the advancement of Japanese primary care.
5.MRI Changes of the Spinal Subdural Space after Lumbar Spine Surgeries: Report of Two Cases.
Toshinori SAKAI ; Koichi SAIRYO ; Nitin N BHATIA ; Ryo MIYAGI ; Tatsuya TAMURA ; Shinsuke KATOH ; Natsuo YASUI
Asian Spine Journal 2011;5(4):262-266
Although magnetic resonance imaging (MRI) is frequently used to assess the lumbar spine, there are few reports in the medical literature that have evaluated using MRI immediately following spinal surgery. Furthermore, descriptions of the subdural changes after lumbar spine surgery are also infrequent. In this paper, we present two cases with subdural change seen on MRI immediately after lumbar surgery. Both the patients had mild symptoms that resolved spontaneously, and the follow-up MRI scans showed resolution of the subdural changes. Subdural changes should be considered as one of the possible causes of unexpected symptoms in patients following lumbar spinal surgery.
Follow-Up Studies
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Humans
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Magnetic Resonance Imaging
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Spine
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Subdural Space
6.6. Recommendations and Results of Activities for the RMP from the Japan Pharmaceutical Manufacturers Association Data Science Expert Committee
Genta KAWAGUCHI ; Keiji IMAI ; Tatsuya KANEYAMA ; Toshifumi KAMIURA ; Masaki KAWANO ; Tetsushi KOMORI ; Motonobu SAKAGUCHI ; Hironori TAKEI ; Yuki TAJIMA ; Tomomi KIMURA ; Yasuyuki MATSUSHITA ; Hironori SAKAI ; Osamu KOMIYAMA
Japanese Journal of Pharmacoepidemiology 2015;19(2):143-151
MHLW released a guideline for Risk Management Plan (RMP) in April 2012, in order to manage the risk of pharmaceutical products from the development stage towards post marketing period. The guideline suggests to determine Safety Specification and to develop Pharmacovigilance Plan (PVP) and Risk Minimization Plan aligned to the ICH E2E guideline. However, in some of the RMPs, which had been published online (as of August 2014), conventional (Special) Drug Use Results Surveys are planned as a “universal” PVP regardless of the impact, severity and characteristics of the risks. Our JPMA taskforce (Data Science Expert Committee) summarized report and published in August 2014. In this report, we explained how to evaluate safety events based on evidence level for safety specification and how to develop PVP. Also, we would like to propose KAIZEN activities for RMP improvement as follows:
1. In order to clarify the research question, rationale and evidence for safety specification should be evaluated carefully.
2. It is essential to be considered in advance how to collect and analyze the safety data for detecting safety specification during clinical development.
3. Safety profiles should be discussed thoroughly on DSUR development among stakeholders in order to clarify safety specification at NDA. Research questions for each different risk and missing information should be established according to PECO, which will flow into appropriate PVP planning.
4. Continuous PDCA cycling is critical for RMP. The first survey or research will bring you next research question (s).
We expect all stakeholders, including clinical development specialists in industry, regulatory authorities, and academia, to have better understating of RMP principle and to manage and implement it more appropriately in a scientific manner.
7.Unmet needs for education and training among palliative care physicians in training: a qualitative study
Tomohiro Nishi ; Masanori Mori ; Sadahisa Matsumoto ; Kyoko Satou ; Junko Uemoto ; Shingo Miyamoto ; Tomofumi Miura ; Meiko Kuriya ; Kimiko Nakano ; Kazuki Satou ; Tatsunori Shimoi ; Keita Tagami ; Yuuta Esumi ; Daisuke Sakai ; Takahiro Kogawa ; Tatsuya Morita
Palliative Care Research 2013;8(2):184-191
Background: The demand for palliative care in Japan has risen over recent years, and training of palliative care physicians is an important problem. However, little is known about unmet needs for education and training systems as well as career development among young physicians who wish to specialize in palliative care. Purpose: To explore unmet needs among palliative care physicians in training. Method: We held group discussions in a forum for physicians of postgraduate year≦15, and analyzed their opinion on topics such as "what are unmet needs?" using theme analysis. Results: Forty physicians participated. Theme analysis revealed the following unmet needs among young physicians; "securing of manpower", "securing of quality of training programs/education", "improvement of network", "removal of many barriers to keeping on a palliative care physician", and "establishment of career models for a specialist". Conclusions: We should discuss solutions for the unmet needs to secure more palliative care physicians.
8.Does Heparin Flush Help to Maintain Patency of Indwelling Peripheral Catheters?
Satoru Shikata ; Takeshi Seta ; Toshihiko Shimada ; Tsuyoshi Kawakami ; Kenji Maeda ; Ken Takahashi ; Hiroshi Ikai ; Akiko Kawatsu ; Eiji Kaneshiro ; Kunihiko Matsui ; Tatsuya Sakai ; Yoshinori Noguchi ; Hiroshi Koyama ; Takuro Shimbo ; Tsuguya Fukui
General Medicine 2003;4(1):17-20